| Entity Name: | SURGICAL ARTS OF BOCA RATON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Dec 2017 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 02 Nov 2018 (6 years ago) |
| Document Number: | L17000250188 |
| FEI/EIN Number | 82-4068957 |
| Address: | 9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL, 33428, US |
| Mail Address: | 9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL, 33428, US |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689171332 | 2018-04-10 | 2019-04-04 | 9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL, 334281703, US | 9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL, 334281703, US | |||||||||||||||||
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| Phone | +1 561-717-3660 |
| Fax | 5617173650 |
| Phone | +1 917-882-5013 |
Authorized person
| Name | DR. JASON PORTNOF |
| Role | PRESIDENT |
| Phone | 5617173660 |
Taxonomy
| Taxonomy Code | 204E00000X - Oral & Maxillofacial Surgery (D.M.D.) |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SURGICAL ARTS OF BOCA RATON LLC 4KPS | 2023 | 824068957 | 2024-10-14 | SURGICAL ARTS OF BOCA RATON | 7 | |||||||||||||
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| SURGICAL ARTS OF BOCA RATON LLC 4KPS | 2022 | 824068957 | 2023-10-15 | SURGICAL ARTS OF BOCA RATON | 7 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| PALERMO, PULCINI & BEETZ PA | Agent | 10400 GRIFFIN ROAD, COOPER CITY, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| Portnof Jason | Director | 9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL, 33428 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000099491 | COSMETIC DENTAL AND SURGICAL ARTS OF BOCA RATON | ACTIVE | 2024-08-21 | 2029-12-31 | No data | 9980 CENTRAL PARK BLVD N, STE 113, BOCA RATON, FL, 33428 |
| G22000147538 | SURGICAL ARTS OF BOCA RATON AND DENTAL IMPLANT CENTER | ACTIVE | 2022-12-01 | 2027-12-31 | No data | 9980 CENTRAL PARK BLVD N STE 113, BOCA RATON, FL, 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-14 | 10400 GRIFFIN ROAD, STE 208, COOPER CITY, FL 33328 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-26 | PALERMO, PULCINI & BEETZ PA | No data |
| LC AMENDMENT | 2018-11-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-01 |
| LC Amendment | 2018-11-02 |
| ANNUAL REPORT | 2018-03-08 |
| Florida Limited Liability | 2017-12-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
